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General NPI Number Information
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NPI Number | 1205268158
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Entity Type | Organization
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Legal Business Name | DPMFRENCLPRIN LLC
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Dates
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Enumeration Date | 08/02/2013
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Last Update Date | 11/06/2013
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Provider Practice Location Address
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Address Line | 21136 S HILLSIDE RD
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City | FRANKFORT
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State | IL
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Zip | 60423-9192
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Country | US
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Telephone | 515-494-3181
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Fax |
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Provider Business Mailing Address
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Address Line | 21136 S HILLSIDE RD
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City | FRANKFORT
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State | IL
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Zip | 60423-9192
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Country | US
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Telephone | 515-494-3181
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | DR. PATRICK FRENCL
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Credential | D.P.M.
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Telephone | 515-494-3181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 07001163A
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License Number State | IN
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